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Is Mini Gastric Bypass Surgery a Good Option?

Is Mini Gastric Bypass Surgery a Good Option?

Question Below Submitted By:  

Munaaza (a patient from United Arab Emirates, Dubai)

I am considering mini gastric bypass surgery. I have a BMI of around 35 or 36, my weight is 85 kgs (187 lbs) and I am 45 years old. I’ve done everything I can to control my eating habits but I just can’t do it. I eat whether or not I’m hungry.

I have high cholesterol and tri triglycerides. Is mini gastric bypass a good option for me? How much time will it take to recover to the point that I can return to my university?

Thanks for your help?

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01.

Expert Responses to the Question Above

Answer: Is Mini Gastric Bypass Surgery a Good Option?

by: Dr. Alberto Aceves

Hello Munaaza,

I personally do not recommend the Mini Gastric Bypass Surgery to my patients. It is my belief, as a gastroenterologist and a Bariatric Surgeon, that the RNY which is not done in the MGB is very important to ensure long term health. This is the lower anastamosis that I am referring to. You do achieve good weight loss results with the MGB, this is not in question, but you may very well be setting yourself up for future complications by having the digestive juices flow back into your new small stomach/pouch.

I would recommend either the full Gastric Bypass or the Gastric Sleeve Surgery, with your BMI you should be able to achieve very good weight loss results with either.

Dr. Alberto Aceves

(click here for Dr. Aceves' full bio & contact info)

Dr. Alberto Aceves

DISCLAIMER: This educational advice is based on the depth of your question and the details provided. The above should never replace the advice of your local physicians as they have the ability to evaluate you in person.

Surgeon Response to "Is Mini Gastric Bypass Surgery a Good Option?"

by: Dr. Chris Cobourn

I would respectfully disagree with Dr. Aceves on the concern of bile gastritis. Bile in the stomach is not a problem and is a normal condition in many people. The issue is bile in the esophagus which is a rare issue with the MGB unless the pouch has been made too small. Many of the case reports in the literature describe a small pouch made by a surgeon that is more comfortable with the Roux en Y procedure which can lead to bile in the esophagus.

Experienced MGB surgeons know to make the gastric pouch large (divide at the Incisura or Crows foot) area of the stomach to prevent this problem.

The MGB has been shown to be just as effective as the Roux en Y procedure but with a markedly lower rate of complications such as anastomotic leakage, bleeding, and internal hernia. There is also a lower rate of marginal ulcer (with bleeding and pain) than with Roux en Y.

Dr. Chris Cobourn
SmartShape™ Weight Loss Centre

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02.

Patient Responses to the Question Above

had it

by: donna cantrell

I had this November 7th other surgeons bad talk it. Of course it will promote them. I am sooo healthy these days no complications at all. If you follow recovery rules it is good. I was 268 now 169 not even a year. Size 20 to 10. I totally recommend it.

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Patients who qualify for bariatric surgery usually:

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If your policy covers it and you meet the qualification requirements, your plan will likely include 4 procedures:

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Whether your insurance covers it – many insurances (including Medicare, Medicaid, and many individual/family and employer-provided policies) cover the majority of costs for gastric sleeve, gastric bypass, LAP-BAND®, and duodenal switch. The other types of bariatric surgery are less likely to be covered, although you may be able to get insurance to pay for some of the costs. Tap the “With Insurance” button in the tool to see average out-of-pocket costs per procedure after insurance pays. See our Insurance Tool to find out if your plan covers it.

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To receive the deductions, you’ll need to complete Schedule A of the IRS Form 1040. You’ll also need to save your medical bills and payment statements as proof. Money in one of the following special savings accounts (or even your IRA) may also be a way to pay for part of surgery tax-free:

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Weight loss surgery is tax deductible, which can have a big impact on the total cost of surgery. You can deduct medical expenses if the costs are more than 10% of your adjusted gross income.

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To receive the deductions, you’ll need to complete Schedule A of the IRS Form 1040. You’ll also need to save your medical bills and payment statements as proof.

Money in one of the following special savings accounts (or even your IRA) may also be a way to pay for part of surgery tax-free:

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There are 6 types of bariatric surgery (also called “weight loss surgery”) available, including:

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[ Last editorial review/modification of this page : 05/24/2021 ]

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